Tracie Lynn Sponseller (NPI# 1861400517, PAC ID# 8921036146) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1861400517 |
| PAC ID by PECOS | 8921036146 |
| Professional Enrollment ID | I20050729000322 |
| Full Name | Tracie Lynn Sponseller |
| Organization Legal Name | S AND H EYE CARE, LLC |
| Address |
3152 Washington Rd Augusta GA 30907-3834 |
| Phone Number | 7066511291 |
| Gender | F |
| Credential | OD |
| Graduation Year | 1990 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3072770932 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110034 | GEORGIA HEALTH SCIENCES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1055 Silver Bluff Rd A, Aiken, SC 29803-5884 | 8046424339 | S AND H EYE CARE, LLC |
| 3521 Richland Ave W, Aiken, SC 29801-6311 | 8036414646 | S AND H EYE CARE, LLC |
| 1120 15th St, Augusta, GA 30912-0006 | 7067246100 | AU MEDICAL CENTER, INC |
| 3152 Washington Rd, Augusta, GA 30907-3834 | 7066511291 | S AND H EYE CARE, LLC |
| Organization Legal Name | S AND H EYE CARE, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew E Hardison | Optometry | S and H Eye Care, LLC | 3521 Richland Ave W, Aiken, SC 29801-6311 |
| Andrew Hawkins | Optometry | S and H Eye Care, LLC | 1055 Silver Bluff Rd A, Aiken, SC 29803-5884 |
| Emily R Lasalle | Optometry | S and H Eye Care, LLC | 11 Robert Smalls Pkwy H, Beaufort, SC 29906-4216 |
| Matthew Haubert | Optometry | S and H Eye Care, LLC | 3152 Washington Rd, Augusta, GA 30907-3834 |
| Lisa D Niven | Optometry | S and H Eye Care, LLC | 1055 Silver Bluff Rd A, Aiken, SC 29803-5884 |
| Kaitlin Mayo Hawkins | Optometry | S and H Eye Care, LLC | 1055 Silver Bluff Rd A, Aiken, SC 29803-5884 |
| Cheryl Lynn Wiltse | Optometry | S and H Eye Care, LLC | 1055 Silver Bluff Rd A, Aiken, SC 29803-5884 |
| Street Address |
3152 WASHINGTON RD |
| City | AUGUSTA |
| State | GA |
| Zip | 30907-3834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Haubert | Optometry | S and H Eye Care, LLC | 3152 Washington Rd, Augusta, GA 30907-3834 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Basil Coombs | Optometry | Gulf Coast Optometry Pa | 258 Bobby Jones Expressway, Martinez, GA 30907 |
| Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Pkwy, Suite 310, Martinez, GA 30907 | |
| Sue L. Howell-fafchamps | Clinical Social Worker | 3711 Executive Ctr Dr, Suite 202 Office 1, Martinez, GA 30907 | |
| Patricia F Hanks | Optometry | Gulf Coast Optometry Pa | 258 Bobby Jones Expressway, Martinez, GA 30907 |
| William Walker | Optometry | Gulf Coast Optometry Pa | 258 Bobby Jones Expressway, Martinez, GA 30907 |
| Cindy Ann Foster | Clinical Social Worker | 4210 Columbia Rd, Suite 4a, Martinez, GA 30907-0403 | |
| Deborah Corley | Physical Therapy | Maguire Therapy Services Inc. | 106 Pleasant Home Rd, Suite 2k, Augusta, GA 30907-0510 |
| Veronica A Maguire | Occupational Therapy | Maguire Therapy Services Inc. | 106 Pleasant Home Rd, Suite 2k, Augusta, GA 30907-0510 |
| Kim Lombardy | Chiropractic | 211 Pleasant Home Rd, Suite F2, Augusta, GA 30907-0558 | |
| Ernie E Lin | Psychiatry | 211 Pleasant Home Rd, F3, Augusta, GA 30907-0559 | |
| Find all physicians in zip 30907 | |||
| City | AUGUSTA |
| Zip Code | 30907 |
| Specialty | OPTOMETRY |
| City + Specialty | AUGUSTA + OPTOMETRY |
Please comment or provide details below to improve the information on Tracie Lynn Sponseller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.